Risk Survey

2014 Diabetes Risk Survey

Two Minutes Could Save Your Life.

Find out if you are at risk for diabetes.
This brief diabetes-risk quiz is FREE and answers are provided to you instantly.

All participants will receive their score via email.

  1. Diabetes is a prevalent condition in our society. Please check all of your relationship types that have been affected: (Required)

  2. Describe your energy level over the last few months: (Required)

  3. How old are you? (Required)

  4. Have you experienced a weight change in the past 5 years? (Required)

  5. Which of the following BEST describes your state of mind? (Required)

  6. Are you currently experiencing any of these symptoms? (Please check all that apply.) (Required)

  7. To date, what efforts have you made to learn about diabetes? (Required)

  8. How concerned are you? (Required)

  9. Which of the following BEST describes you? (Required)

  10. Select the location nearest you: (Required)

ALMOST DONE!

Here is what happens next:

  1. Assessment

    We'll send you your FREE Diabetes Risk Score via email for your review. Please enter a valid email address or we won't be able to get your results to you.

    NOTE: All Fields Required.

    First Name:

    Last Name:

    Email Address:

    Telephone:

  2. Analyze

    If you have an elevated risk profile, PreDiabetes Centers will offer you a free, comprehensive prediabetes test. It's easy! Blood is collected at our Center by a phlebotomist. There is no cost to you whatsoever.

  3. Act

    If your score is elevated, PreDiabetes Centers can offer you a personalized program designed to help you avoid or delay the onset of diabetes.

Book a FREE Prediabetes Screening

Get Tested

1-855-399-7733

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